Active NPI
Jared Landry, M.D.
- Anesthesiology Physician
- Thibodaux, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD.206604
- Practice address
- 602 N Acadia Rd
Anesthesia Dept.
Thibodaux, LA 70301-4847 - Phone
- (985) 438-1188
- NPI assigned
- Mar 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD.206604 | LA | Primary |
Addresses
Primary practice location
602 N Acadia Rd
Anesthesia Dept.
Thibodaux, LA 70301-4847
Mailing address
119 W Lakeshore Dr
Thibodaux, LA 70301-1607
Phone (337) 802-2639
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300093737 | Other | LA | RAILROAD MEDICARE PTAN |
| 2106961 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Louisiana State University School of Medicine in New Orleans, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2000
602 N Acadia Rd
Hospitalists Dept
Thibodaux, LA 70301-4847
Phone (985) 493-4544
604 N Acadia Rd
Suite 300
Thibodaux, LA 70301-4897
Phone (985) 449-1244
Hospital & facility affiliations
- Thibodaux Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.55 of 100
- Quality
- 67.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Professional Services LLC | Current | Accepting new patients | |
| Zephyr Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| Thibodaux Regional Network Development Corporation | Anesthesiology | Current | Accepting new patients |
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients |
Locations
694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000
5150 Robotics Ln
Lake Charles, LA 70605
Phone (337) 214-1591
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805
602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544
604 N Acadia Rd
Ste 300
Thibodaux, LA 70301
Phone (985) 438-1088
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Thibodaux, LA
- NPI 1285658310
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
-
- Anesthesiology Physician
- La Place, LA
- NPI 1891087458
-
- Physical Medicine & Rehabilitation Physician
- Thibodaux, LA
- NPI 1518631639
-
- Clinical Cardiac Electrophysiology Physician
- Thibodaux, LA
- NPI 1770435851
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1295059202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 W LAKESHORE DR",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703011607",
"telephone_number": "337-802-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N ACADIA RD",
"address_2": "ANESTHESIA DEPT.",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014847",
"telephone_number": "985-438-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "JARED",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-19",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "MD.206604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "300093737",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2106961",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.